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Organization
GALLOWAY REGIONAL EYE CENTER PA
Active
Organization
GALLOWAY REGIONAL EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY E GALLOWAY MD (OWNER)
(864) 943-2010
Entity
Organization
Contact information
Practice address
202 OVERLAND DR, GREENWOOD, SC 29646-4069
(864) 943-2010
(864) 323-0345
Mailing address
PO BOX 49847, GREENWOOD, SC 29649-0015
(864) 943-2010
(964) 323-0345
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
29742
SC
207W00000X
Ophthalmology Physician
Primary
7563
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF8980
RAILROAD MEDICARE GROUP
SC
05
—
GP4102
—
SC
Enumeration date
06/26/2006
Last updated
03/05/2014
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